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Raw Performance is around that of the Ti4600; where the Radeon shines is in the upper resolutions, and with Anti Aliasing/Anisotropic filtering cranked up. And if I never have to write those two words again, I'll be happy.
Reliablity is hard to judge - on the short term, I didn't really have any problems with the card, and Sapphire has been around for over 10 years. It certainly is smaller, and less prone to being destroyed by a fumble fingered klutz like myself. Value is the tough one. While the Sapphire is certainly the top of the heap right now, deserving of the premium price point, for $400 dollars I'd like to see some software to enjoy your hardware with, and at the least a printed manual.
Still, you can find it for cheaper, and it really is not that much more expensive than some Ti4600s when you come down to it. Certainly if you are the kind that must have the best, then this card is up your alley, where those that must scrape and beg for the cash will have to weigh out the investment versus what the Sapphire brings to the table. If I were sitting on the Lounge PC, but stuck with a Geforce 2, I'd seriously think about it though.